unicef syria regional crisis humanitarian sitrep (syria jordan lebanon iraq turkey egypt) 28 nov 201

In Syria 4,278,000 #of children affected

9,300,000 # 0f people affected (OCHA November 2013)

Outside Syria 1,186,891

#of registered refugee children and children awaiting registration

2,258,476

# of registered refugees and persons awaiting registration (UNHCR, 27 November 2013)

Syria Appeal 2013*

US$ 110.46 million

Regional Appeal 2013* US$ 360.19 million *January – December 2013

Syria Crisis Bi-weekly

humanitarian situation report

15 -28 NOVEMBER 2013: SYRIA, JORDAN, LEBANON, IRAQ, TURKEY AND EGYPT

SITUATION IN NUMBERS

Highlights

Protecting Children this Winter Since October, in Syria, over 400,000 blankets, including baby blankets; 20,000 children’s

winter clothing sets; and 61,000 plastic sheets have been distributed through SARC and other UNICEF partner NGOs across the country. Distribution will continue through the winter season to meet the needs of women and children affected by the crisis. In addition, UNICEF, SARC and the Ministry of Water Resources are preparing a fuel storage and distribution plan to ensure continued access to safe water during the winter season through pre-positioning of fuel to run generators for pumping water in hard to reach areas.

In Lebanon, to date, UNICEF’s partners have distributed winter clothing kits to 5,528 children in informal tented settlements. UNICEF and partners aim to reach over 150,000 vulnerable Syrian, Palestinian and Lebanese children with seasonal clothing and/or vouchers this winter.

UNICEF has transferred over 24,000 blankets and 25,000 winter clothing kits for children under 5 to NRC for distribution in camps in Jordan. UNICEF is also preparing a further 10,000 winter clothing kits and blankets for distribution. Winter supplies will be distributed over the next two weeks.

In Iraq, UNICEF is procuring warm clothes/shoes for 24,000 children and 51,480 blankets. 150 tented classrooms and child friendly spaces will be equipped with heaters and carpets. In order to prevent heat loss, 8,000 hypothermia kits will benefit 40,000 refugees. This kit includes three fleece blankets, one reinforced plastic tarpaulin and one mat.

In Turkey, UNICEF has procured 220 winterized tents to replace school tents in the camps. All child friendly spaces will be replaced with containers. Sets of jumpsuits have been distributed to 5,181 children aged 0-2 in seven camps so far. UNICEF aims to reach all children under 2 in camps with winter clothing.

Polio vaccination campaigns have been rolled out in October and November reaching an estimated 19 million children under 5 including 2,201,216 in Syria; 580,770 in Lebanon; 1,097,277 in Jordan; 1,300,000 in Turkey; and 14,000,000 in Egypt. A campaign was undertaken in Iraq with results pending.

UNICEF supplies have reached Al-Waer, Alzafarni, Ein Alnesr and Deir Foul in Homs governorate, crossing the lines of conflict to benefit 12,500 families.

Supplementary foods for the treatment of over 100,000 children with acute malnutrition were delivered to partners in Damascus, Rural Damascus, Hama, Homs, Deir ez Zour, Lattakia and Tartous

An influx of 20,000 refugees arrived in Aarsal in the past fortnight. UNICEF is providing emergency health, nutrition, WASH and protection response.

In Jordan, UNICEF partners now operate 86 child and adolescent-friendly spaces, including 34 in host communities which serve both Syrian and Jordanian families. Since 1 January, 111,205 Syrian children have been reached with psychosocial support services.

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SYRIA CRISIS BI-WEEKLY HUMANITARIAN SITUATION REPORT

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Estimated Affected Population (Estimates calculated based on initial figures from (*) OCHANovember 2013. The rest of the figures are calculated based on CBS demographic distribution of 2011 and on UNOHCHR figures

Total Affected Population (*) 9,300,000

Children Affected (Under 18) 4,278,000

Pregnant women (estimate: 5% of the total population)

340,000

Total Displaced Population (a proportion of the above)

(*) 6,500,000

Children Displaced (estimated: 46 % of the population is children)

2,990,000

Syria

Highlights

WHO confirmed two additional cases of polio in Aleppo and Rural Damascus

bringing the total number of confirmed cases in Syria to 17. Five additional

national immunization days are scheduled to take place monthly starting 8

December 2013 to stop transmission of the virus.

More than 2.2 million children received polio vaccines during the first-ever

coordinated massive polio immunization campaign which ended on 21

November.

UNICEF life-saving supplies continue to cross conflict lines in Homs reaching

12,500 families in Alwaer, Alzafarni, Ein Alnesr and Deir Foul.

Situation Overview and Humanitarian Needs

In Homs City and surrounding areas the security situation has worsened making access to certain areas extremely difficult. Efforts are

still ongoing with all stakeholders to send polio vaccines to the Old City, Alhoula, Zarra and Talkalaha. Despite these challenges,

UNICEF supplies have reached Al-Waer, Alzafarni, Ein Alnesr and Deir Foul crossing the lines of conflict to benefit 12,500 families.

Supplies include family hygiene kits; baby hygiene kits; washing powder; soap; children clothes; family water kits and blankets.

The main highway connecting Homs to the capital city Damascus is closed due to the security situation, causing new displacements

and impeding humanitarian operations. During the reporting period, 1,500 families have reportedly arrived in Sadad, Alhamarat area

and more IDPs are expected to arrive in the coming weeks. UNICEF is working with partners to provide the displaced families with

urgent humanitarian assistance.

The UNICEF hub in Homs conducted a one-day mission to Hama City to assess the humanitarian situation in the governorate, the first

such visit in more than two months. Findings highlight an overall tense security situation throughout the governorate with 8,000

families newly displaced from Aleppo and Rural Aleppo to Salamiya and Mesaif areas of the governorate during the past eight weeks.

Families are in need of winter items such as children’s winter clothes, mattresses, thermal blankets and hygiene items, in addition to

other basic services such as water, hygiene and sanitation; health; protection; and education. The team, in collaboration with SARC

and other partners, has developed a three month urgent response plan to address the needs of the IDP families and host communities.

In Aleppo, while access to the governorate had reasonably improved following the opening of the Al-Samaieh- Aleppo road, the

closure of a major crossing that connects the eastern part to the West is limiting movement between the two neighbourhoods, cutting

off the east from humanitarian assistance. In addition, this week the road to Aleppo also closed once more, limiting supply and staff

movement to the north.

Programme Response

Winterization To ensure that children are kept warm and protected from winter illnesses, including respiratory infections that can

prove fatal among vulnerable populations, UNICEF has been ordering and pre-positioning winter items ahead of the cold season,

forecasted as an exceptionally cold winter. Supplies include blankets, mattresses, warm clothes, plastic sheeting, health and hygiene

kits.


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Since October, over 400,000 blankets, including baby blankets; 20,000 children’s winter clothing sets, and 61,000 plastic sheets have

been distributed through SARC and other UNICEF partner NGOs across the country. Distribution will continue through the winter

season to meet the needs of women and children affected by the crisis.

In addition, UNICEF, SARC and the Ministry of Water Resources are preparing a fuel storage and distribution plan to ensure continued

access to safe water during the upcoming winter season through pre-positioning of fuel to run generators for pumping water in hard to

reach areas.

Health & Nutrition On 26 November, WHO confirmed two additional cases of wild polio virus in Aleppo and Rural Damascus

(Douma). The total of confirmed cases in Syria has now risen to 17, of which 15 were confirmed in Deir Ez Zour in October. The

widespread circulation of polio virus amongst children is the main public health concern in the country.

As part of the nationwide polio campaign, which was launched following the confirmation of the initial polio cases, 2,201,216 children

were reportedly vaccinated against the virus. The campaign, which ended on 21 November, targeted 2.2 million children. Nearly

300,000 children were vaccinated in hard to reach areas of Deir Ez Zour Governorate where the first cases were confirmed.

UNICEF and partners are strengthening efforts to stop the circulation of polio virus in Syria. The unprecedented response to control

transmission of the virus includes five monthly rounds of national immunization days in the months ahead, with the first one scheduled

to start on 8 December 2013. Two million doses of bivalent oral polio vaccines (bOPV) provided by UNICEF have reached Beirut and

will be transported in to Syria to support the upcoming vaccination round.

An additional immunization campaign against Measles Mumps and Rubella is on-going with 1,138,259 children in schools receiving the

life-saving vaccine along with vitamin A supplementation. UNICEF and partners aim to reach 2.2 million children before the end of

December 2013 with MMR vaccine.

Sixty-two UNICEF-supported mobile medical teams in the 14 governorates and 24 fixed centres in Damascus, Rural Damascus, Hama,

Aleppo and Quneitra, continue to provide primary health care services to IDPs and vulnerable children. During the reporting period,

17,650 children benefited from routine medical check-ups; referrals and other primary health care services, bringing the total number

of children reached since the beginning of the year to 332,364.

During the reporting period the following supplies were delivered to partners in Damascus, Rural Damascus, Hama, Homs, Deir ez

Zour, Lattakia and Tartous replenishing stocks of supplementary foods for one month (in conjunction to the on-going immunization

campaigns):

10,000 boxes of Plumpy Doz for 50,000 children

20,000 supplementary plumpy sachets for 100,000 children

400,000 sachets of micronutrients for 13,333 children

23,000 boxes of High Energy Biscuits (HEB) for 115,000 children

In addition, 1,000 boxes of HEB were sent to the UNICEF hub in Homs to be distributed through crossline missions to benefit

5,000 children as supplementary feeding; 200 HEB boxes were delivered to Dara’a to benefit 1,000 children and 3,500 HEB

boxes were delivered to SARC in Aleppo to benefit 17,800 children.

WASH UNICEF WASH supplies finally reached Dara’a, which had witnessed cases of diarrhoea in early November. The supplies

delivered to SARC included 700 packs of disinfection tablets to benefit 61,600 people; 2,000 bags of washing powder to benefit 10,000

people; 1,400 Baby Hygiene Kits; and 263,000 garbage bags. Additional WASH items will be pre-positioned in Dara’a to enable a swift

response in case of disease outbreak.

UNICEF supported activities are enhancing access to clean drinking water, hygiene and sanitation services in different parts of the

country as follows:


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45 prefabricated toilets and showers were delivered to Aleppo municipality for installation in the IDP shelters in the city to

benefit 2,700 people.

35,000 IDPs have access to clean water, hygiene promotion and sanitation services through water tankering, repair and

maintenance of water pipes and sanitation facilities in partnership with a local NGO in Aleppo.

1,000 litres of pesticides were dispatched to the Lattakia Municipality for pest control at IDP shelters, of which 460 litres were

confirmed to have been utilized so far, benefiting 600,000 residents of Lattakia. In addition, 20,500 jerry cans were delivered

to SARC of which 600 have been distributed to IDP families living outside collective shelters.

In Deir Ez Zour, 40 tonnes of sodium hypochlorite were delivered to Al-Mayadeen City, Bseira Town and surrounding villages,

and Deir Ez Zour City, as part of the nationwide chlorination efforts for continued access to clean water. As part of on-going

hygiene and sanitation campaign in Deir Ez Zour City, 7,350 people benefited from distribution of plastic garbage bags and

hygiene promotion messages.

Education Essential education supplies continue to reach

children across the country as part of the back to school

campaign. Since the launch of the nationwide effort in

September, 765,160 school bags have been distributed in all

14 governorates, except Hassakeh City. In addition, UNICEF

has supported children’s access to quality learning through

the delivery of 2,782 recreation kits to benefit 250,380

children; 2,593 schools-in-a-carton for 103,720 children; 1,284

sets of school supplies to benefit 51,360 children; 610 Early

Childhood Development kits for 30,500 pre-school children;

and 14,649 posters and 30,332 flyers targeting parents to

raise awareness on school registration. During the reporting

period, additional essential school supplies have reached

over 28,000 children in Homs.

In Tartous, which is currently receiving many IDPs because of the calm security situation in the area, a UNICEF field monitoring visit

observed overcrowded classrooms in five schools in the neighbourhoods hosting IDPs. The team observed up to 80 children sharing a

classroom and in some cases up to five children sharing a desk. UNICEF is working with the education authorities in the governorate to

address the urgent needs of additional learning spaces and school furniture in Tartous.

UNICEF’s education response to the crisis includes provision of safe learning spaces through installation of prefabricated classrooms.

Since the beginning of the crisis 20 per cent of schools have been partially damaged, completely destroyed or are being used as

shelters for IDPs. During the reporting period additional classrooms have been set up in Aleppo bringing the total UNICEF supported

prefabs to 30 in the governorate. Since the beginning of the year 120 prefab classrooms have been set up in Damascus, Rural

Damascus, Homs, Deir ez Zour, Rural Damascus, Aleppo and Tartous.

As part of the Adolescent Programme:

1,226 youth participated in vocational awareness, communication and financial skills in Aleppo mainly in Al Hamdanyia, Al Syrian,

Sabeel and Al-Forqan area.

Psychosocial support continues to reach adolescent and youth through UNICEF trained network of youth trainers in Damascus,

Rural Damascus, Tartous, Swida and Al-Qunitera. During the reporting period, a total of 3,000 youth benefited from a range of

protection and life-skills services.

1,777 Adolescents benefited from life skills sessions in IDPs shelters in Damascus

2,000 Palestinian adolescents benefited from a range of protection services such as psychosocial support, gender-based violence

life skills and adolescent health services in IDP area and refugees camps in Lattakia , Aleppo, Homs , Hama , Dara’a, Damascus and

Rural Damascus.

Back- to -Learning campaign in Syria, Targeted and Gap by location: 26 November 2013

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20,000

40,000

60,000

80,000

100,000

120,000

# of children reached # of children to be reached (gap)


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Child Protection Essential psychosocial support services continue to reach

children and adolescents, with the support of UNICEF and partners (SARC and NGOs)

in Tartous, Homs, Dara’a and Rural Damascus. The total number of children and

adolescents reached with psychosocial support since the beginning of the year is

143,342.

UNICEF conducted a rapid assessment in four shelters in Homs in Bader Harfoosh

School/Shelter in Iddikhar, Hussein Jarad Shelter and Al Markaz althaqafi Cultural

Centre in Shammas area and Mosen Terkawi Shelter in Dablan. Findings highlighted

urgent needs in provision of additional winter items including blankets, mattresses and

mats, children’s winter clothing, winter shoes, sanitation and Family and Baby Hygiene

kits. Some families are living in collective shelters with broken windows and in

adequate sanitation facilities putting them in high risk of water borne diseases, such as

diarrhoea, and respiratory infections. Discussions with SARC and other partners as well

as the IDP families revealed more child protection concerns including sexual and

gender based violence amongst IDP children, and increasing number of children being

exposed to recruitment, child labour and separation.

.

A boy colours in a butterfly drawing as part of UNICEF-supported psychosocial activities at the shelter in Homs city. © UNICEF Syria/2013/Bassel Halabi


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WASH: 1This indicator captures daily average of people accessing water through water tankering, rehabilitation and maintenance of water systems. Chlorination is

reported as a different activity, with a target to reach 10 million people covered for an initial period of three months starting February 2013. *This indicator captures water trucking, rehabilitation and maintenance of water systems ** Intervention over three months only.

2 Capturing distributions of various hygiene items including family and baby hygiene kits, soap and other item distributions.

3 Capturing construction/establishment of latrines in various affected areas and centres, using an agreed person to latrine ratio of 1:50 (50 beneficiaries for

one toilet on average). 4

Target reflects a combination of interventions including 500,000 people to receive both hygiene supplies (hygiene kits, soap and other hygiene materials) and hygiene promotion messaging, as well as 250,000 people to be reached through messaging and tools only (mass media component) 5 Target reflects interventions in schools and child friendly spaces by WASH and Education partners implementing UNICEF’s WASH in schools component.

Child Protection: 1Beneficiaries of psychosocial support include children and adolescents reached through the following components: community based child-friendly spaces

and adolescents friendly spaces (fixed and mobile). 2 Captures children reached with mine-risk education awareness sessions delivered through multiple components, including activities in Child-Friendly

Spaces, schools/school clubs and general awareness sessions implemented by partners.

WASH Estimated #/% coverage

UNICEF & operational partners

UNICEF 2013 Target Cumulative results (UNICEF &

Partners) % of Target Achieved

# of emergency affected population provided with access to drinking and

domestic water1

9,500,000*

10,000,000**

3,142,096*

10,000,000**

33 %

100%

#of emergency affected population provided with access to soap and

other hygiene items2 500,000 685,883 137%

# of emergency affected population with access to appropriately designed

toilets and sanitation services3

1,500,000 139,500 9%

# of people having access to hygiene promotion messages4 950,000 578,371 61%

# of children access safe water, sanitation and hygiene facilities in their

learning environment and in child friendly spaces5

50,000 5,386 11%

Child Protection

# of children (and adolescents) with access to psychosocial support and

protection services1 300,000 143,342 48%

# of children made aware of the risk of mines, unexploded ordnance and

explosive remnants of war2

1,000,000 0 0

Education

# of school-aged children in affected areas in schools/learning

programmes1 585,000 291,678 50%

# of children with access to psychosocial support in education

programmes2 270,000 322,028 119%

# of children and adolescents benefitting from non-formal and informal

educational services3

10,000 34,098 293%

# of children receiving essential education materials4 1,000,000 1,418,383 142%

Health

# of children vaccinated against measles, mumps, rubella 1

2,200,0005

1,086,218 44 %

# of children fully covered with routine Immunization antigens 2

570,000 332,364 58%

# of children and women with equitable access to essential health services with sustained coverage of preventive and curative

interventions3

800,000 774,344 97%

# of children 6-59 months receiving Vitamin A supplementation 4 800,000

705,591 88%

# of children under five reached with polio vaccine 6 2,200,000

2,201,216 100%

Nutrition

# of children <5 receiving multi-micronutrient supplementation1

570,000 159,975 28%

# of children <5 with SAM in therapeutic feeding

13,000 774 13%

# of children <5 with MAM in supplementary feeding

55,000 49,383 108%


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Education: 1Indicator capturing remedial classes through school clubs and capturing beneficiaries of school rehabilitation and/or prefabricated classrooms once partners

begin reporting on results from these activities. 2Psychosocial support provided as part of school club activities by teachers trained on basic PSS and or school counsellors. The target also includes 50,000

children under six to be reached at kindergarten level. 3

The target includes non-formal and informal education (combining extra-curricular activities, and life-skills training/education at CFS and Adolescent Friendly Spaces) and vocational training. Please note target does not included Palestinian Refugees in UNRWA camps 4 Target is based on 2,000 schools being targeted for distribution of school material packages benefiting children and teachers, with an average of 500

children estimated per school. A portion of these children will also be receiving individual school bags and stationary supplies as part of a combined distribution effort. Health: 1 Immunization target comprised of 700,000 U5 children for catch up of 2012 campaign, 300,000 from 6 months to 15 years in IDP centres, and 1,500,000

school children from grade 1 to 4. To be implemented in part through campaigns and routine. Results are based on administrative data (WHO/MoH) at governorate level. 2 Indicator captures number of children under one year reached with all EPI antigens through mobile EPI/mobile clinics providing vaccination services as well

as children to be reached through routine EPI services. 3 Target include IDP children reached through mobile clinics, in addition to pregnant women reached with health education and the supply and distribution of

a combination of health and medical supplies, including First Aid Kits, Emergency Health Kits, Delivery Kits, etc. 4 Indicator captures children aged 6-59 months also receiving Vitamin A supplementation as part of the measles catch-up component (see above).

5 Target revised based on Ministry of Health official data released in November 2013.

6 New target as part of the polio campaign launched on 24 October – 21 November 2013 following confirmation of new polio cases in Syria.

Nutrition: 1

Data includes cumulative number of children reached with Ready-to-Use Supplementary Food and high energy biscuits, excluding supplies dispatched to

the Ministry of Health.


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Lebanon Highlights

An influx of 20,000 refugees arrived in Aarsal in the past fortnight.

UNICEF is providing emergency health, nutrition, WASH and

protection response.

More than 580,000 children under the age of five were reached in the

nationwide polio campaign that ran in November.


A total of 749,972 refugees are currently registered with UNHCR, of which

more than 50 per cent are children. An additional 75,966 Syrians have

been in contact with UNHCR to be registered, bringing the total to

825,938. The number of Palestine refugees from Syria (PRS) in Lebanon is 50,700 individuals.1

As a result of fighting in Syria, an influx of 20,000 refugees has arrived in Aarsal in the past ten days. The cadaster of Aarsal ranks the

tenth most vulnerable locality in Lebanon (out of a total of 1,577 localities) and prior to the latest influx it already accommodated

18,123 registered refugees and approximately 18,000 Lebanese, of whom 5,566 are living on under USD4/day. UNICEF has deployed

three mobile medical units to the area, as well as malnutrition screening teams, and has made WASH and health contingency stocks

available.

Programme Response

Winterization UNICEF’s implementing partners, Beyond, Intersos, Arc en Ceil and TdH Italy, have distributed winter clothing kits to

5,528 children living in informal tented settlements to date. UNICEF and partners are aiming to reach over 150,000 vulnerable Syrian,

Palestinian and Lebanese children with seasonal clothing and/or vouchers this winter.

WASH In the past fortnight, WASH implementing partners Solidarites, World Vision and PU-AMI have provided access to water for

drinking and domestic purposes to an additional 7,814 beneficiaries, bringing the cumulative total to 53,839. They have also provided

an additional 8,164 beneficiaries with access to appropriately designed toilets, 3,586 with hygiene kits and 4,561 with hygiene

promotion sessions, bring the cumulative totals to 25,633, 46,115 and 37,748 beneficiaries respectively. In all, 79,944 beneficiaries have

been reached with one or more WASH intervention this year.

In addition to making contingency stocks made available for the response in Aarsal, UNICEF has deployed 200 latrine slabs for

emergency latrines.

Child Protection The total number of direct child beneficiaries reached by UNICEF implementing partners with psychosocial

support and protection services so far in 2013 is 200,139. A total of 38,943 parents and other caregivers have benefitted from access to

a combination of services, as well as 22,128 survivors of gender-based violence (GBV) or at risk of GBV. Additionally, over 8,335 children

and community members have benefitted from mine risk education and awareness.

1 Estimates of Palestinian Refugees from Syria have recently been reduced downwards by UNRWA

Total number of registered and unregistered refugees:

825,938 (UNHCR November 27, 2013)

Registered Refugees

Total Male Female

Total Affected Population

749,972 367,486 382,486

Children Affected (Under 18)

395,985 203,242 192,743

Children 0-4 Years

147,744 75,747 71,997


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A child receives the Back to Learning kit at Abdul Public School/UNICEF/Lebanon/Rajab/2013

Since the beginning of the influx of Syrian refugees in Aarsal, UNICEF and partners have been responding to the needs of women and

children through psychosocial support, case management and coordination. A child friendly space was set up in the DRC registration

centre for newcomers. 147 girls and boys received psychosocial support and caregivers were informed about available services and key

protection messages. Two unaccompanied minors were identified and referred to appropriate services. Focus group discussions and

information sessions were organized with women and adolescent girls in the registration centre, distribution centre and during mobile

outreach activities. Over 1,500 women and girls of reproductive age received dignity kits as well as information on available services

and key GBV protection messages. 1,528 baby kits were distributed to newcomers.

Education To date UNICEF and partners have provided a total of 105,426

children and adolescents with formal education, non-formal education and

psychosocial support, an increase of 5,400 in the past fortnight.

In the past fortnight, 5,457 school-aged children were supported to enroll in

schools through UNICEF’s implementing partner Caritas Lebanon Migrant Center,

bringing the total children enrolled with UNICEF support in this academic year to

32,401. Children receive partial or full Back-to-Learning packages comprised of a

school bag, stationery and payment of fees as necessary.

In partnership with IQRA Association, 96 teachers were trained on active learning

methods during the reporting period. Those trained teachers will provide non-

formal education support to 2,281 out of school children.

Rehabilitation was completed in a further six schools (by implementing partners Relief International, Norwegian Refugee Council, and

International Orthodox Christian Charities), bringing the total of children benefitting from improved learning environments to 12,383

children in a total of 34 schools. Work in a further 60 schools is ongoing, and all are expected to be completed by end of 2013.

Health The first of a series of nationwide polio vaccination campaigns was run in early November, reaching 580,770 children under

the age of five, resulting in a 98.4 per cent coverage rate nationwide. This includes vaccinating 8,400 children at five border entry

points, and 25,500 Palestinian children through UNRWA. Of the 26 cazas in Lebanon, 21 have a coverage rate above 95 per cent; two

have coverage between 90 and 95 per cent; and three have a coverage rate below 90 per cent.

In response to the influx into Aarsal, UNICEF implementing partner, Beyond, and the Ministry of Public Health deployed three mobile

medical teams to the area. To date, the teams have treated 1,578 patients, vaccinated 1,065 children against polio and have treated 86

pregnant and lactating women.

Nutrition In the past three weeks, 2,000 children have been screened for malnutrition, with 24 cases of severe acute malnutrition

(SAM) identified and 12 cases of moderate acute malnutrition (MAM). Overall, 85 cases of malnutrition are being treated through

primary healthcare centres and 28 cases have been admitted to hospital.

In coordination with IOCC, UNICEF has deployed seven teams to Aarsal to screen for malnutrition. The teams have assessed 410

children under the age of five, finding three cases of SAM and one of MAM. The treatment for cases without complications is being

provided directly on site by IOCC, and cases with complications are being referred to UNHCR and the Ministry of Social Affairs for

transportation to hospital.


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Inter-Agency Collaboration and Partnerships

The current number of Palestine refugees from Syria (PRS) living in Lebanon is 50,700. UNICEF provided vaccines and equipment to

UNRWA for the implementation of the nationwide polio campaign, with 25,500 Palestinian children immunized.

Third Party Monitoring (TPM)

For the months of October and November, 38 site third party monitoring visits were conducted by implementing partner InfoPro. The

TPM is developing excel forms to be used on the tablets instead of paper versions, to expedite the turnaround time for reporting.

Supply and Logistics

In the past fortnight, 46,755 winter clothing kits have been released to partners for UNICEF’s winterization programme. In response to

the refugee influx into Aarsal, WASH and health supplies, including medical supplies, emergency health kits, lice treatment, tarpaulins,

water filters and water purification tablets were released from the contingency stock pre-positioned with partners in the field.

Estimated #/% coverage


UNICEF 2013 Target

Cumulative results (UNICEF & Partners)

% of Target Achieved

WASH

Emergency affected population provided with access to drinking and domestic water

181,000* 53,839 30%

Emergency affected population provided with access to soap and other hygiene items

123,975 46,115 37%

Emergency affected population with access to appropriately designed toilets and sanitation services

280,575 25,633 9%

Child Protection

Children with access to psychosocial support services* 81,500 200,139 246%

Health

# of children (boys and girls) 9 months to 18 years vaccinated against measles

800,000 711,012

(179,216 Syrian) 89%

# of children (boys and girls) 6 months to 18 years receiving Vitamin A supplementation

800,000 381,953 48%

# of children (boys and girls) up to 5 years receiving Polio 812,694

(102,782 Syrian)* NA


UNICEF & operational partners Sector

UNICEF 2013

Target

Cumulative results ( #)

% of Target

Achieved

Sector Target

Cumulative results (#)

% Target Achieved

Education

School-aged children in affected areas in schools/learning programmes

133,515 65,477 49% 252,657 NA NA

Children with access to psychosocial support in education programmes

132,360 54,837 41% 152,480 NA NA

Children and adolescents benefitting from non-formal and informal educational services

133,515 32,495 24% 291,491 NA NA


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Safe and secure learning environments that promote the protection and well-being of learners established

320 schools (80,000 children)

34 schools (12,383 children)

11% 562

schools NA NA

Comments/Background: WASH: *Target is based on RRP5 target for water trucking, plus the construction/rehabilitation of water network beneficiaries Child Protection: * PSS is being used as an umbrella indicator for recipients of UNICEF’s child protection interventions. This figure only represents the number of children that are direct beneficiaries of UNICEF interventions. All women, men, and adult caregivers, as well as indirect beneficiaries are not reported in this high frequency indicator. To date, the Child Protection team has been collecting this information through the Child Level monitoring tool developed in consultation with partners and the LCO PM&E section. The information is consolidated and sent to the UNICEF information manager, as well as programme staff. It is also monitored through regular field visits and will be monitored by the Third Party Monitors. ** There has been no increase in this figure in the past fortnight, as Child Protection partners report their activities on a monthly basis. *** The RRP5 target has been surpassed due to the increase in target population, as well as a shift in strategy to target a greater number of gateways through the scale up. Additionally, UNICEF has shifted strategy to adopt a community-based approach to widen the network of people that partners work with. A core component of this is the reliance on working more closely with refugees and vulnerable children, involving them in the provision of services: self-help groups, volunteerism and seeing target beneficiaries as a resource instead of the object of assistance. Health * This result reflects two campaigns conducted: i) First quarter 2013; and ii) November 2013. This indicator reflects the number of vaccinations provided to children across both campaigns and not individual children. The number of Syrian children vaccinated is likely to be higher, as the data for the nationwide campaign in November does not yet differentiate between Lebanese and Syrian children reached.


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Jordan

Highlights

The 2-21 November National Immunization Campaign

vaccinated 3.29 million persons in Jordan against measles (99

per cent of target), and 1.1 million children against polio (120

per cent of target).

UNICEF partners now operate 86 child and adolescent-friendly

spaces, including 34 in host communities which serve both

Syrian and Jordanian families. Since 1 January, 111,205 Syrian

children have been reached by psychosocial support services.

Six hundred Jordanian teachers, administrators and Syrian

assistant teachers are receiving UNICEF/CADER training to

enhance the quality of education in Za’atari and EJC camp

schools. Some 106,733 Syrian children are now enrolled in

schools in Jordan, including 20,990 in camp schools.

UNICEF received a new contribution of £7.25 million (USD 11.2 million) from DFID to support WASH and Child Protection

initiatives.

Situation overview and humanitarian needs

There are currently 557,657 Syrian refugees registered with UNHCR in Jordan, of whom over 100,000 are children under 5. Arrivals

have been averaging 200-300 per night over the past month. More than half of the 300 refugees arriving each day (on average) are

children, including roughly 60 children under 5. Most refugees are crossing via the Eastern border, a difficult journey which can take

days or weeks. UNICEF is coordinating with agencies to ensure families with infants/young children receive winterization kits at the

border. The kits will include baby blankets, winter clothes, soap and sachets of oral rehydration solution.

Programme Response

Winterization UNICEF has transferred over 24,000 blankets and 25,000 winter clothing kits for children under 5 to NRC for

distribution in camps. UNICEF is also preparing 10,000 winter clothing kits and

blankets for distribution to families with children under 5. Winter supplies will be

distributed over the next two weeks. Some 2,000 kits are ready for distribution

now to families with young children as they cross the border.

WASH In consultation with implementing partners, UNICEF is in the process

of finalizing the installations of structures in Azraq Camp. The partners have

developed a contingency plan making it possible to have the WASH facilities

fully operational within two weeks’ notice (based on UNHCR interagency

position paper on Azraq camp). With the already installed facilities, the camp

can accommodate 30,000 refugees. Remaining funds will for the time being be

reallocated for interventions in Za’atari camp and host community as prioritized

by sector partners.

Total number of registered refugees and pending registration: 557,657 (UNHCR November 27, 2013)

Registered Refugees

Total Male Female


557,657 268,791 288,866

Children Affected (Under 18)

297,231 151,125 146,106

Children Under Five

104,840 52,977 51,862

Children 6 to 23 months

39,036 19,518 19,518

Pregnant women

12,999 n/a 12,999

Winter clothes for young children arriving at NRC warehouse ©UNICEF/Jordan2013/Malhas


13

Due to previous heavy rain in Za’atari during the beginning of November, 36 sewage tanks connected to WASH blocks were broken or

had a potential to present a risk of overflowing. A contractor mobilized by UNICEF is in the process of repairing these tanks and so far

around 35 per cent of the tanks have been repaired.

Child Protection UNICEF and partners2 have reached 111,205 Syrian children (53 per cent girls) with psychosocial support both in

camps (60 per cent) and host communities (40 per cent) through a total 52 child friendly spaces (CFSs) in camps and 34 child and family

protective places in host communities. In the last two weeks, around 12,000 children attended UNICEF CFSs and playgrounds on daily

basis, with 2,000 new children registered during the period.

UNICEF/IMC/IRC have identified and registered 1,422 unaccompanied and separated children (UASC) in camps (1,012) and host

communities (410). Of the 422 unaccompanied children, 134 (39 per cent girls) have been reunited with family members in camps, and

136 (44 per cent girls) have been reunited with their families outside camps, a reunification rate of 65 per cent. Sixty-three UASC (49

per cent girls) have been placed in family-based or foster care and 106 UASC (36 per cent girls) have been placed in kinship care.

Children from all locations in Za’atari camp were actively engaged in the preparation of Universal Children’s Day on 20 November by

UNICEF and Save the Children International. The children encouraged adults and other children to join them in a human chain and

passed on the message of “no violence against children”. CFSs in the camps conducted sessions about violence against children; the

right to live in safe environment; friendship and respect; discrimination; and friendship (engaging children with disabilities in activities

with other children).

UNICEF and UNHCR have concluded a comprehensive training programme for 300 police officers from the Syrian Refugees Camps

Department, responsible for the management and security of the different camps in Jordan. The three-month training covered the

rights of refugees; governance and security in camps; child rights and child protection; and gender based violence. UNICEF conducted

sessions around Child Protection in Emergencies related topics including child protection and rights concepts, child protection system,

risks faced by in emergencies, services referrals and response.

UNICEF conducted two 2-day training workshops on “introduction to human rights and child protection in emergencies” for 48

animators, social workers and programme managers from different partners in Aqaba, Tafeilah and Ma’an. The training workshops

covered Introduction to Human Rights, Child Protection in Emergencies concepts, Code of Conduct for professionals and

organizations, understanding psychosocial and the IASC guidelines, introduction to Community Based Protection Networks and

culture of violence against children.

Education Since 11 November UNICEF/CADER has conducted 27 training workshops for some 600 Jordanian teachers and Syrian

assistant teachers. The first phase of pedagogy for this 4-day training includes the following topics: “learner-centred approach”,

classroom management, instructional design, and assessment strategies. Another three workshops are planned to be held in Za’atari

Camp to train the rest of the teachers in the three schools from 25-28 November. In addition, similar training is planned to take place in

double-shifted schools in host communities, beginning with schools located in Mafraq, Qasabat and Amman on 25 November. Training

for 22 school principals from Za’atari and EJC in addition to Za’atari resident academic supervisors was also conducted to improve

school administration in camp schools.

The number of students registered in the three schools in Za’atari Camp totals 19,780 children (School I: 9,443 students; School II:

5,7580 students; School III: 4,457 students). With an additional 1,210 children enrolled in ECJ camp school, the total number of students

enrolled in camp schools totals 20,990 children. With some 85,743 children enrolled in host community schools, Syrian refugee

children enrolment in schools in Jordan now totals 106,733 students.

2 Save the Children International, Mercy Corps, International Medical Corps, International Rescue Committee, Terre des Hommes – L, Un ponte per – Jordan Women Union, INTERSOS – JOHUD, Family Guidance and Awareness Centre, Islamic Charitable Society Centre, Save the Children Jordan, Noor Hussein Foundation


14

Since September, the total number of students who received schoolbags containing school supplies in the camp and host community

has reached 47,962 (31,569 in host community schools, 16,393 in camps).

Health UNICEF/WHO/UNHCR and partners completed the Measles-Rubella-Polio National Immunization Campaign (NIC) on 21

November in 11 of 12 governorates. For Amman the campaign was extended until 25 November to cover all remaining schools. The

number and percentage of vaccinated children as of 21 November are (with no disparity between sexes):

The total number of persons vaccinated with MR reached 3,286,595 (or 99% of the target of 3,303,827 persons)

The total number of children vaccinated with Oral Polio Vaccine reached 1,078,277 (or 120% of the target of 895,021).

The total number of children who received Vitamin A drops reached 671,527 (or 67% of the target 613,662).

In addition, the MR-Polio campaign was conducted in Za’atari camp from 20-26 November, reaching the following persons:

The total number of persons 06 months – 20 years vaccinated with MR reached 65,444

The total number of children 0-5 years vaccinated with Oral Polio Vaccine reached 19,000

The total number of children 6-59 months who received Vitamin A drops reached 16,889

The ongoing immunization of newly-arrived Syrian refugees against measles and polio and provision of Vitamin A in Za’atari and EJC

camps continues, conducted by IOM with UNICEF technical support. Measles vaccination is provided to refugees aged six months to 30

years; polio to children 0-15 years; and Vitamin A supplementation to children aged six-59 months. Since IOM has started vaccinating

new arrivals (16 April), 62,775 children (six months to 17 years of age and adults 18 – 30 years) have been vaccinated against measles

and 21,308 children (0-5 years) against polio. In addition, 17,319 children (6-59 months) were provided with vitamin A supplements.

Nutrition During the past two weeks, 1,974 mothers and 1,375 children under five visited UNICEF/Save the Children Jordan (SCJ)

Infant and Young Child Feeding centres in Za’atari and EJC camps and host community. The number of pregnant and lactating mothers

reached with infant and young child feeding promotion and counselling since 1 January now totals 33,404. In addition, 3,718 children

under five and lactating mothers received nutritional snacks during the reporting period, bringing overall 2013 recipients to 51,486

persons. Through this project, UNICEF/SCJ provides nutritional support and guidance, including breastfeeding promotion,

complementary child feeding, one-to-one counseling, and health education sessions for pregnant/lactating women in the camps and

host community.

Communications for Development (C4D)

During the reporting period, UNICEF implemented awareness campaigns to support the three-week NIC. Two major TV channels

(Jordan TV and Roya TV) and Ayyam, Spin FM radio channel developed and broadcasted a number of programmes including live talks

shows, as well as news reports with interviews of parents, health care providers, young people and religious leaders. In addition, 40

local and international NGOs were mobilized to support the campaign with community mobilization activities and reached more than

three million people with key messages through printing materials to parents, religious leaders and children at national level. UNICEF is

now planning with Ministry of Health and WHO and other partners a second round of national vaccination campaign against polio to be

held on 21-26 December 2013.

Supply and Logistics

In the reporting period UNICEF received 459,800 syringes for use in routine vaccinations. UNICEF Logistics also continued to support

the set-up of Child Protection and Education sites in Za’atari and Azraq Refugee Camps.


15

Estimated #/% coverage (Based on RRP5 expectation of 1M refugees in Jordan)


UNICEF 2013 Target



Sector Target


% of Target

Achieved

WASH

Emergency affected population provided with access to drinking and domestic water

280,000 172,884* 62% 550,000 172,884* 31%

Emergency affected population provided with access to soap and other hygiene items

280,000 171,734 61% 468,000 171,734 43%

Emergency affected population with access to appropriately designed toilets and sanitation services

230,000 144,884 63% 400,000 144,884 36%

Population with access to hygiene promotion messages 280,000 201,920* 72% 550,000 201,920 37%

Children with access to safe water, sanitation and hygiene facilities in their learning environment and child friendly spaces

60,000 21,000** 35% 135,000 21,000** 16%

Child Protection

Children with access to psychosocial support services 179,280 111,205* 62% 179,280 111,205* 62%

Separated and unaccompanied children identified and registered through inter-agency system

3,400 1,422 42% 3,800 1,422 37%

Separated and unaccompanied children in emergency reunified with families **

1,200 270 23% TBC 270 TBC

Education

School-aged children in affected areas in schools/learning programmes

120,000 106,733 89% 120,000 106,733 72%

Children with access to psychosocial support in education programmes

4,000 9,529* 238% 19,214 9,529* 50%

Children and adolescents benefitting from non-formal and informal educational services

8,000 4,161 52% 19,500 4,161 21%

Number of school-aged children who attend catch-up/enrichment classes

14,000 13,544** 97% 15,400 13,544** 88%



UNICEF 2013 Target



Sector Target


% of Target

Achieved

Nutrition

# of pregnant and lactating mothers reached with infant and young child feeding promotion and counselling

30,000 33,404 111% 75,000 33,404 45%

# of infants and lactating mothers receiving supplementary feeding support

30,000 51,486 172% 75,000 51,486 69%

Estimated #/% coverage UNICEF & operational partners

UNICEF 2013 Target Cumulative Results % of Target Achieved

Health

Children (boys and girls) vaccinated against measles* 500,000

3,979,101†

(402,590*/3,463,345**/ 113,226***)

796%

Children <2 yrs (boys and girls) fully covered with routine Immunization antigens

60,000 †† ††

Children (boys and girls) 6-59 months receiving Vitamin A supplementation

210,000

955,485

(125,045*/ 791,792**/38,648***)

455%


16

Comments/Background WASH: *These figure reflects the maximum number of people accommodated in Za’atari camp, King Abdullah Park (KAP) and Cyber City (CC) earlier in 2013, plus the total population reached in host communities. **This figure reflects number of students benefiting from host community school WASH initiatives and does not include the number benefiting from WASH in camp schools (captured separately). Child Protection: *Increase from last report is due to increased number of centres in host communities Health: †Includes both those immunized under Nov 2013 National Immunization Campaign and earlier immunization campaigns, and so may double-count some children who would have received measles vaccine in Irbid, Mafraq and Za’atari under earlier rounds as well as the Measles/rubella vaccine in Nov. UNICEF plans separate reporting lines per campaign for the year-end tally of RRP5 results. †† UNICEF will report on this indicator by year-end, as results of ongoing activities is compiled *Syrian ** Jordanian *** others Education: *Not including 3,744 Jordanian children with access to psychosocial support in education programmes **Figure was reduced from previous total due to a correction in partner reporting.


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Iraq Highlights

In Domiz Camp, UNICEF and partners, including the Child Help Line,

organized a celebration on the occasion of Universal Children’s Day.

Roughly 1,200 children attended the festivities

On 13 November, UNICEF, UNHCR, UNESCO and the Minister of

Education launched a ‘Back to School’ campaign in Shanadar in Erbil.

350 children participated in the ceremony and were subsequently

provided with student kits and bags by UNICEF. The campaign will

endeavor to increase demand for education for all out of school Syrian

refugee children.

Programme Response

Winterization In order to prepare for the upcoming winter, UNICEF Iraq is procuring warm clothes/shoes for 24,000 boys and girls.

Additionally, 150 tented classrooms and child friendly spaces will be equipped with heaters and carpets. In order to prevent heat loss,

8,000 hypothermia kits will benefit 40,000 refugees. This kit includes three fleece blankets, one reinforced plastic tarpaulin and one

mat. Additionally, 51,480 blankets will be distributed to ensure all children have adequate bedding.

WASH UNICEF, along with partners, has started its WASH winterization approach through modifying existing and initiating new

construction. This includes ensuring drainage systems are in place, de-sludging of waste tanks and constructing hard (concrete)

foundations for families in tents. Additional supplies such as energy boilers for hot showers, special motor pumps for winter and other

WASH products are also being ordered and placed in camps.

UNICEF Iraq/2013

Child Protection In Domiz Camp, on 20 November, UNICEF and partners, including the Child Help Line, organized a celebration

on the occasion of Universal Children’s Day. Roughly 1,200 children attended the festivities, which included role playing activities

highlighting issues related to violence against children, child labour, early marriage, risks associated with mines, as well as ways

children in crisis may use the Child Help Line.

Total number of registered refugees and pending

registration: 207,473 (UNHCR November 27, 2013)

Registered

Refugees

Total Male Female

Total

Affected

Population

207,473 103,944 103,529

Children

Affected

(Under 18)

70,956 37,968 32,988

Children 0-4

Years 26,764 13,486 13,278


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In Kawargosk Camp, UNICEF installed three tents in a new space allocated for the purpose of a Child Friendly Space and Child

Protection Unit. These will function in four shifts and will support the registration of more than 1,000 children between the ages of 4

and 15.

In coordination with IRC, UNICEF completed the first child protection orientation for all frontline actors. The orientation was attended

by 30 participants from different NGOs, and provided mentoring and support for child protection case management and the

development of standard operating procedures for respective child protection units.

Education On 13 November, UNICEF, UNHCR, UNESCO and the Minister of

Education launched a ‘Back to School’ campaign in Shanadar in Erbil. 350 children

participated in the ceremony and were subsequently provided with student kits and

bags by UNICEF. The campaign will endeavor to increase demand for education for all

out of school Syrian refugee children.

UNICEF also provided schools in four camps in Erbil with bags and stationary sufficient

for 4,550 students. Due to the relocation of more families into Darashakran camp,

enrollment at the camp school has increased by 20 per cent (from 960 to 1,150

students).

Health and Nutrition In addition to the planned National Immunization Days for polio scheduled to begin on 1 December, the

Ministry of Health (MoH) has decided to conduct six sub-national campaigns in the next three to six months in eight vulnerable

governorates, including al-Anbar. UNICEF provided the MoH with two million doses of polio vaccine. This shipment will be followed by

an additional five million doses to be utilized during the sub-national campaigns.

During the reporting period, UNICEF opened a new baby hut in Domiz camp. The baby hut will promote breast feeding, provide private

coaching and counseling for new mothers, and include a child friendly space to entertain children during service provision to their

mothers. The baby hut will provide services six days a week.

UNICEF concluded training of 20 nurses (16 Syrian refugees and 4 from DoH) in Erbil on the topics of breast feeding counseling, growth

monitoring, feeding advice and hand washing. These nurses will now provide counseling sessions in the baby huts throughout Erbil

(four in each camp).

Communication for Development (C4D)

UNICEF launched a two week ‘Back to School’ campaign on 13 November. This campaign will promote children’s right to education by

endeavoring to register 40 per cent of the estimated 21,000 out of school Syrian children in Erbil and Sulimaniyeh in 1 of 17

participating schools.



UNICEF 2013 Target

Cumulative results

( #)


Sector Target



WASH

Emergency affected population provided with access to drinking and domestic water.

73,744 104,259

(8,311*/95,948**) 69% 139,125

129,259

(8,311*/

120,948**)

87.7%

Back-to-School launch by HE Minister of Education UNICEF Iraq/2013


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Emergency affected population provided with access to soap and other hygiene items.

66,369 68,219

(9,261*/58,958**)

More than 100%

139,125

68,219

(9,261*/

58,958**)

49%

Emergency affected population with access to appropriately designed toilets and sanitation services.

74,488 79,350

(8,311* /71,039 **)

More than 100%

139,125

85,500

(8,311* /

77,189 **)

61%%

Population having access to hygiene promotion messages.

70,794

94,522

(9,261* /85,261**)

More than 100%

139,125

122,000

(9,261*/

112,739**)

87.7%

Children access safe water, sanitation and hygiene facilities in their learning environment and in child friendly spaces.

27,500 14,510

(2,500* /12,010**) 53% 27,500

16,500

(2,500* /14,000**)

60%

Child Protection

Children with access to psychosocial support services

25,816 8,701

(2,146*/6,537**) 34% 65,265 N/A N/A

Separated and unaccompanied children registered in family tracing or receiving family-based or appropriate alternative care

All identified cases

534

(13*/521**)

All Identified Cases

All identified

cases N/A N/A

Education

School-aged children in affected areas in schools/learning programmes.

14,760 19,667

(7,126* /12,541**)

More than 100%

46,375

19,667

(7,126* /12,541**)

42.4%

Children with access to psychosocial support in education programmes.

16,000 4,065

(2,165*/1,900**) 25% 46,375

9,055

(2,165*/ 6,890**)

19.5%

Nutrition

Children <5 receiving multi-micronutrient supplementation*

44,421 0 0 49,000 N/A N/A

PLWs receiving micronutrient supplementation 25,509 0 0 61,250 N/A N/A

Women having access to IYCF Services 18,032 0 0 61,250 N/A N/A

Estimated #/% coverage UNICEF & operational partners

UNICEF 2013 Target Cumulative Results % of Target Achieved

Health

Children (boys and girls) vaccinated against measles

24,938 46,637 187%

Children <2 yrs.* (boys and girls) fully covered with routine Immunization antigens

14,963 17,632 118%

Children (boys and girls) 6-59 months receiving Vitamin A supplementation

14,963 24,074 161%

Children and women equitably access essential health services with sustained coverage of preventive and curative interventions

63,888 48,476 76%

Comments/Background: Note that all results are cumulative over the course of 2013. * Al-Qaim only ** for Northern Governorates Dohuk, Erbil and Sulaimanyah Camps

WASH: WASH results include beneficiaries in camps and transit centres. Beneficiaries in transit centres who receive water on a temporary basis are counted in the beneficiary numbers for 2013. There was a high influx of refugees at the end of August who required considerable temporary support around the border areas.

Education: The number reported for Northern Governorates (12,541) includes 4,251 beneficiaries in non-camp areas)

CP: The result for psychosocial support in Northern areas (6,537) includes 370 beneficiaries in non – camp areas

Heath and Nutrition: UNICEF is awaiting report from Ministry of Health on the coverage


20

Turkey Highlights

On 18 November, the polio campaign was launched by the Ministry

of Health with support from UNICEF and WHO in Gaziantep. The

first round of polio vaccinations aimed to reach 1,061,000 children

under 5 in the seven provinces on the border with Syria (Kilis, Hatay,

Mardin, Sanliurfa, Gaziantep and Sirnak) and Adana. Public health

officials stated that over 4,000 health personnel were deployed for

the campaign, with subsequent rounds occurring over December and

January. According to the MoH roughly 1,300,000 children were

vaccinated.

On 20 November, the Her Royal Highness The Grand Duchess of

Luxembourg and UNICEF Eminent Advocate for Children, Maria

Teresa visited UNICEF and WFP activities in Nizip 2 container camp.


On 22 November, the Disaster and Emergency Management Presidency (AFAD) of the Government of Turkey reported that the total

number of Syrians registered and accommodated in 21 camps in 10 provinces is 204,614 including 154 Syrians receiving medical

treatment in hospitals.

In Kahramanmaras, local officials have completed the re-registration of all the camp residents and have started to distribute new ID

cards to replace the old ones. In Kahramanmaras province, approximately 13,000 non-camp Syrians have been identified, with

approximately 8,000 already registered. Government officials estimate that there are approximately 4,000 children out of school, but

for whom there are no spaces currently available. UNICEF is currently working with AFAD to identify locations for the construction of

pre-fabricated schools for Syrian children living outside of camps.

Programme response

Winterization UNICEF has procured 220 winterized tents which will be delivered to seven camps and host community locations this

week. All of the tents will be used to replace school tents in the camps, in particular to ensure new tents are in place before the winter

months. Three tented Child Friendly Spaces (CFSs) have been replaced

with containers in Nizip 1, Nizip 2 and Islahiye camps to ensure activities

for children and youth continue during this period. All of the tented

spaces will be replaced with containers over the next two weeks. Winter

clothing for children aged 0-2 (two jumpsuits, one inner, one outer) have

been delivered to camps and camp authorities are in the process of

distributing the clothes to children. So far, sets of jumpsuits have been

distributed to 5,181 children aged 0-2 in seven camps, as part of the

overall UNICEF winterization support.

Education An additional 466 teachers were trained over the period

from four Hatay camps (Yayladagi 1, Yayladagi 2, Altinozu 1, Altinozu 2)

on 19 November and both Kilis camps (Oncupinar, Elbeyli) on 25 and 26



* the increase in children affected since the last sitrep is due to new calculations from GoT/UMHCR on proportion of refugees in Turkey that are under 18

Registered Refugees

Total Male Female


522,111 251,658 270,453

Children Affected (under 18)

303,346 153,501 149,846

the Grand Duchess of Luxembourg visits Nizip 2 camp with UNICEF Representative, Dr Ayman Abulaban. UNICEF Turkey/ Ayberk Yurtsever/2013


21

November. This brings the total of teachers trained during this round to 729 teachers from nine camps. Through the training

completed to date, and with on-going support to Syrian teachers, 18,301 children enrolled in schools in Hatay, Kilis, Kahramanmaras,

Osmaniye and Adana will benefit from the skills shared with teachers in the training. The training is specific to the needs of teachers in

camps, including class management and psychosocial support for students. Syrian teachers attending training in camps also receive

small cash incentives as all teachers in camps are volunteers and cannot currently be provided with a regular salary. This also ensures

that the work of teachers is recognized and valued.

Child Protection and Youth Activities were on-going in 16 CFSs over the period. Since the beginning of activities in CFSs in

camps, 16,171 children (50 per cent girls) have attended activities. During the reporting period (14 November – 26 November), 3,349

children attended activities. The participation in spaces has been slightly lower over the recent period as UNICEF is currently in the

process of replacing tented CFSs with container spaces which are more appropriate for activities during the winter months. Three

containers (Nizip 1, Nizip 2, and Islahiye) are now in place, with the installation of containers continuing for the remainder of the

camps.

The first debriefing session with a psychologist for the 25 youth workers (through the Turkish Red Crescent Society) was held in

Gaziantep on 18 and 19 November. The debriefing session was a chance for the youth workers – amongst themselves and with the

psychologist - to share their experiences, achievements and challenges of working the camps with Syrian children and youth. They

were also provided coping mechanisms for self care. The next technical training session for the youth workers will be between 9 and 13

December.

Inter-Agency Collaboration and Partnerships

On 18 November, a polio vaccination campaign was launched by the Ministry of Health with

support from UNICEF and WHO in Gaziantep. The first round of polio vaccinations aimed to

reach 1,061,000 children under 5 in the seven provinces on the border with Syria (Kilis, Hatay,

Mardin, Sanliurfa, Gaziantep and Sirnak) and Adana. Public health officials stated that over

4,000 health personnel were deployed for the campaign, with subsequent rounds occurring

over December and January. According to the MoH roughly 1,300,000 children were

vaccinated. There no cases of polio have been detected in Turkey; these campaigns are

precautionary in order to prevent any possible outbreak. UNICEF is providing 3,3500,000

doses of polio vaccine to the Ministry of Health for the subsequent vaccination rounds, as well

as outreach and communication materials in Turkish and Arabic for the campaign. UNICEF

will also provide measles, mumps and rubella vaccines (29,400 doses), to be used with the second round of the polio campaign.

Supply and Logistics Supply activities for the period focused on the rolling installation of the container CFSs into all of the camps where the programme is

operational and the procurement and delivery of the school tents to camps.



UNICEF 2013 Target

Need as of October 2013*


% Covered Sector Target Results % Covered

Child Protection*

# of severely affected children and adolescents (boys and girls) provided with specialised support in education programmes and/or through recreational activities.

260,100 266,431 16,171 6% (need) 6% (target)

260,100 16,171 6% (need) 6% (target)

Polio campaign launch event. UNICEF Turkey/Tulay Guler/2013


22

# of children benefiting from seasonal clothing

50,000 266,431 80,733 30% (need)

161% (target) 260,100 80,733

30% (need) 38% (target)

Education

# of school-aged children (boys and girls aged 4-18) in camps and host communities in schools/learning programmes

382,500 173,180 75,711** 44% (need) 20% (target)

382,500 75,711 44% (need) 20% (target)



UNICEF 2013 Target


% Covered Sector Target Results % Covered

Health

# of children (boys and girls) 9 months to 18 years vaccinated against measles

107,100 0 0 107,100 0 0

# of children (boys and girls) up to 18 years receiving Vit- A

89,250 0 0 89,250 0 0

Nutrition

Children <5 receiving multi-micronutrient supplementation*

89,250 0 0 89,250 0 0

Comments/Background: Needs are based upon the actual needs on the ground at the time of reporting. UNICEF has set targets for the planning timeframe of January - December 2013. Education: **Overall efforts led by the Government of Turkey and partners are ensuring that 75,711 children are in schools/learning programmes inside the camps and in non-camp settings.


23

Egypt

Highlights

Over 14 million children under five were vaccinated against polio in

the first round of National Immunization Days in Egypt.

Psychosocial support continues in three Child Friendly Spaces (CFSs)

for 1,020 children. Close to 400 children participated in daily

activities, while more than 600 participated in sports days and other

outdoor recreational activities.


As of 27 November, an estimated 90 Syrian and Palestinian children remain in detention for reasons of attempted irregular migration

to Europe. Among the children remaining in detention five unaccompanied/separated children and three children with serious medical

conditions have been identified. These children and their families have been detained without charges for several weeks and have

been told to leave Egypt or face indefinite detention. A hunger strike started by adults end November raised further concerns about

the situation of Syrian and Palestinian children in detention.

Programme Response

Child Protection Child protection pursued and strengthened its work in three areas: psychosocial support, protection of children in

detention and strengthening coordination.

The psychosocial support comprises three Child Friendly Spaces (CFS) and support to vulnerable families with children. During the

month of November the three existing CFSs operating in Alexandria have registered and served 1,020 children. Close to 400 children

participated in daily activities, while more than 600 participated in sports days and other outdoor recreational activities. Social workers

conducted regular follow-up of 200 highly vulnerable families and ensured referrals to services such as urgent medical care, access to

education and family reunification. Twenty-five facilitators and social workers currently involved in psychosocial work were trained on

child protection policies. After the training, procedures to prevent, identify and report child abuse are being developed.

In the absence of immediate legal remedies for the protection of 90 children currently in detention for reasons of irregular migration,

the programme concentrated on regular monitoring visits to five police stations conducted by a team of lawyers, doctors and social

workers. Medical assistance and basic supplies were provided to children. Regular recreational activities have not been possible as a

result of overcrowded conditions and access restrictions in the detention centres. UNHCR and UNICEF have continued advocacy

efforts for the release of the children.

In the area of coordination, UNICEF continued to support the child protection working group along with UNHCR. A coordination

mechanism has also been established in Alexandria. A joint visit with UNHCR to Damietta was conducted and a plan to implement

child protection interventions has been developed.

.

Education Syria children are continuing to enrol in schools. Over 36,000 were enrolled by mid-October; more have now enrolled,

however updated figures are not available. Some of the schools are quite overcrowded and UNICEF is assisting with provision of

chairs, desks and other basic schools supplies. UNICEF and the Ministry of Education are in the process of developing a training plan for

teachers in 20 schools with high concentrations of Syrian refugee students as well as organizing remedial classes to support children’s



Registered Refugees

Total Male Female


128,158 65,489 62,669

Children Affected (5-17)

57,415 29,861 27,554

Children 0-4 Years 18,711 9,612 9,227


24

academic achievements. Over the next few weeks these interventions will support over 6,000 children Greater Cairo, Damietta,

Kalubia and Alexandria.

UNICEF also continues to support increased access to quality pre-school education, with 12 kindergarten classrooms in Abour and Giza

having been provided with furniture and educational materials to serve 300 children. A needs assessment conducted in four

governorates (Cairo, Giza, Damietta and Alexandria) resulted in the identification of 35 locations for new community based

kindergarten classrooms in Alexandria and Qalubia which would serve 875 children. Upgrades will begin depending on availability of

funds.

Health From 17-20 November, the Ministry of Health and Population (MoHP) successfully completed the first round of Polio National

Immunization Days (NIDs). Over 14 million children under 5, including 18,100 Syrian refugee children (of an estimated 20,000), were

vaccinated. Special efforts were made to ensure 40 children in detention in Alexandria and 3 children in Port Said were included.

UNICEF supported MoHP in developing the communication and social mobilization plan and also with the needed information

regarding the location and numbers of Syrian children to be targeted during the polio NIDs.

UNICEF continued support to the MoHP in training health teams from Primary Health Units (PHUs) in areas with large Syrian refugee

populations. During the reporting period, 35 physicians, 35 nurses, 5 community health workers and 5 supervisors from PHUs in

Damietta completed the training and will strengthen the delivery of primary health care services to over 10,000 Syrian refugees.

Eighty per cent of the procured equipment needed to upgrade the primary health services at the PHUs arrived to the country and

distribution will start first week of December.


25

Regional Funding

* The total amount includes funds that are currently being allocated to country offices. ** Although Egypt appears overfunded, the funding needs have recently increased substantially due to the polio response which was not part of the initial RRP funding requirements. *** This includes multi-country technical support. On 7 June UNICEF, together with other UN agencies and partners, launched its revised appeal requirements for the Syria Crisis. As detailed in the above table, UNICEF’s total funding requirements from January to December for Syria have increased by 61% to $110.46m. For neighbouring countries, UNICEF total funding requirements have now reached $360.19m representing a 183% increase. Next Situation Report: 12 December 2013 For further information, please contact:

UNICEF Syria Crisis: http://childrenofsyria.info/ UNICEF Syria Crisis Facebook: www.facebook.com/unicefmena UNICEF Syria and Syrian Refugees Appeal: http://www.unicef.org/appeals/index.html UNICEF Syria Crisis Mailing List

Funded

Required 13.10 33.44 15.94 46.49 0.00 1.49 110.46

Funded 13.52 30.40 25.66 42.48 18.70 1.95 0.15 132.89

Required 16.85 45.02 10.56 78.44 0.00 0.00 0.00 150.88

Funded 20.28 24.99 7.59 73.01 1.16 0.00 0.02 127.05

Required 18.23 55.66 3.45 46.37 1.72 0.00 0.00 125.43

Funded 36.82 35.17 12.08 21.67 1.13 0.00 12.31 119.18

Required 5.00 5.00 4.75 28.50 0.00 0.00 1.00 44.25

Funded 4.18 7.40 3.01 17.84 0.00 0.00 5.93 44.02

Required 10.41 20.49 3.00 0.00 0.00 0.00 0.00 33.90

Funded 6.39 9.57 0.86 0.00 0.00 0.00 2.69 19.51

Required 0.51 0.84 0.39 0.00 0.00 0.00 0.00 1.74

Funded 0.22 0.42 2.38 0.00 0.00 0.00 0.00 3.01

Required 1.00 1.00 1.00 1.00 4.00

Funded 0.82 0.51 0.95 0.61 0.02 0.02 1.09 4.02 ***

Required 65.10 161.45 39.09 200.80 1.72 1.49 1.00 470.65

Funded 82.23 108.45 52.53 155.61 21.01 1.96 22.20 456.84

Gap -17.13 52.99 -13.43 45.19 -19.29 -0.47 -21.20 13.82

% Funded 126.3% 67.2% 134.4% 77.5% 1218.5% 131.8% 97.1%

Turkey 57.6%

Egypt** 172.9%

MENA*** 100.4%

Lebanon 95.0%

Total 97.1%

Iraq 99.5%

120.3%

Jordan

Syria

Funding StatusChild

ProtectionEducation

In millions of US Dollars

84.2%

Health &

Nutrition

Safety &

Security

Ops.

Mgmt.Total*WASH NFIs

Geoff Wiffin Syria Crisis Emergency Coordinator UNICEF MENA Regional Office Mobile: +962 (0) 79 6835058 Email: [email protected]

Simon Ingram Regional Chief of Communication UNICEF Middle East and Northern Africa Mobile: + 962 (0) 79 5904740 Email: [email protected]

http://www.facebook.com/unicef

http://www.unicef.org/appeals/index.html

http://unicef.us7.list-manage.com/subscribe?u=5eb1a46c176e09c237df0913f&id=1b536fb2a6

mailto:[email protected]

mailto:[email protected]

unicef syria regional crisis humanitarian sitrep (syria jordan lebanon iraq turkey egypt) 28 nov 201

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